Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,819.70 / $7,244.36	Facility		$79.43	$1,819.70	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $302.00	Professional		$66.07	$134.90	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $165.96	Professional		$67.61	$100.00	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $933.25	Professional		$66.07	$95.50	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $239.88	Professional		$72.44	$128.82	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $218.78	Professional		$144.54	$186.21	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $131.83 / $229.09	Facility		$67.61	$131.83	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $1,288.25	Facility		$67.61	$102.33	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $1,288.25	Professional		$138.04	$194.98	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,202.26 / $2,454.71	Facility		$218.78	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $251.19	Professional		$60.26	$125.89	$251.19